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Department of urology

Dr. med. Constantin Charvalakis
urology, pediatric urology

About the department

The department of urology at Academic Hospital Koblenz-Montabaur offers a wide range of diagnostics and treatment options for kidneys, bladder, urinary tract and male genital organs. The department has a long history and vast experience in its specialization. Therefore it treats simple pathologies of the genitourinary system in men and boys and complex clinical cases, such as acute injuries, inflammatory processes, and dysfunctions of malformations. The department has advanced operating rooms with modern equipment for extracorporeal shock wave lithotripsy (treatment of urolithiasis) and an accurate monitoring system (HDTV video tower) for detailed monitoring of the urological interventions, digital X-ray machines and MRI systems.

The medical team offer patients a comprehensive range of urological treatments at a high level. The department focuses on major tumour surgery (e.g., kidney and bladder), prostate surgery, bladder replacement, and the diagnosis and treatment of incontinence. If surgical treatment is necessary, preference is always given to gentle, minimally invasive techniques that significantly reduce the postoperative recovery period. The offer is supplemented by pediatric urology, andrology and drug-based tumour therapy.

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Treatment and diagnostic focus of the department

Diagnosis: 

  • Kidney and ureteral stones 
  • Prostate cancer 
  • Enlarged prostate
  • Cancer of the urinary tract 
  • Interstitial cystitis 
  • Kidney failure 
  • Urinary tract infections
  • Urinary incontinence 
  • Erectile dysfunction 
  • Male infertility
  • Other pathological conditions

Diagnostic options: 

  • Anamnesis 
  • Laboratory tests (blood, urine) 
  • Computed tomography
  • Colour Doppler (coloured representation of the blood flow)
  • Photodynamic diagnostics (involves fluorescence to localise abnormal tissue)
  • MRI fusion biopsy of the prostate
  • Digital X-ray diagnostics
  • Video urodynamics (examination of bladder function)

Treatment: 

  • Major tumour surgery: open and laparoscopic
  • Organ-preserving renal tumour surgery and radical renal tumour removal
  • Radical removal of the prostate with preservation of erectile function
  • Bladder replacement
  • Endoscopic surgery of the prostate
  • Minimally invasive laser treatment
  • Chemotherapy 
  • Immunomodulatory therapy 
  • Surgical treatment of injuries to the kidneys, ureters, bladder, urethra and genitals
  • Urinary stone therapy
  • Implantation of ligaments and artificial sphincters for incontinence treatment
  • Plastic surgery on male genitalia
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